Pharmaceutical Care: Poisoning Treatment Overview

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is strongly recommended when there is doubt about the risk or management of poisoning treatment?

  • Consulting the UK National Poisons Information Service (correct)
  • Keeping detailed notes without consulting any service
  • Storing specialist antidotes in emergency departments
  • Admitting patients immediately

For which patients is hospital admission generally advised in cases of poisoning?

  • Patients with features of poisoning, including those who have taken delayed-action poisons like aspirin (correct)
  • Patients who have taken household cleaning products
  • Patients who self-treat at home
  • Patients who have taken immediate-action poisons

Where can routine information about diagnosis, treatment, and management of patients exposed to chemicals be obtained?

  • Community health centers
  • Local pharmacies
  • TOXBASE, the primary clinical toxicology database of the National Poisons Information Service (correct)
  • Specialist clinics

According to NHS England, what is the recommendation for storing specialist antidotes in emergency departments?

<p>Keep them separate and clearly identified to prevent unintended administration (D)</p> Signup and view all the answers

What type of information can be obtained from TOXBASE or the National Poisons Information Service regarding poisoning treatment?

<p>Routine diagnosis and treatment information for chemical exposure (B)</p> Signup and view all the answers

Why is it important to clearly identify specialist antidotes in emergency or out-of-hours medicine cupboards?

<p>To prevent unintended administration and ensure quick access during emergencies (C)</p> Signup and view all the answers

What is the recommended treatment for severe salicylate poisoning when the plasma-salicylate concentration exceeds 700 mg/litre?

<p>Haemodialysis (D)</p> Signup and view all the answers

Which symptom is NOT associated with alcohol intoxication?

<p>Bradypnoea (D)</p> Signup and view all the answers

What is the primary purpose of activated charcoal in poisoning cases?

<p>Preventing absorption of toxic substances (C)</p> Signup and view all the answers

What is a common symptom of opioid poisoning?

<p>Pinpoint pupils (D)</p> Signup and view all the answers

Which technique is contra-indicated for corrosive substances or petroleum distillates in poisoning cases?

<p>Gastric lavage (B)</p> Signup and view all the answers

Which action is recommended for patients with hypothermia following poisoning?

<p>Immediate hospitalization (C)</p> Signup and view all the answers

What measure can open the airway without trauma in unconscious patients?

<p>Chin lift or jaw thrust (C)</p> Signup and view all the answers

What can be given within 1 hour of ingesting more than 125 mg/kg of aspirin for salicylate poisoning?

<p>Activated charcoal (D)</p> Signup and view all the answers

What is the primary role of oxygen in poisoning cases?

<p>A substitute for adequate ventilation (D)</p> Signup and view all the answers

What is a potential consequence of severe poisoning with central nervous system depressants?

<p>Respiratory acidosis (B)</p> Signup and view all the answers

What is the authorized dose regimen for acetylcysteine in paracetamol overdose?

<p>Three consecutive intravenous infusions over 21 hours (B)</p> Signup and view all the answers

What potential side effect is associated with acetylcysteine administration?

<p>Hypertension and hyperhidrosis (B)</p> Signup and view all the answers

What is the maximum recommended dose of Methylthioninium chloride for children aged 3 months to 17 years?

<p>7 mg/kg per course (A)</p> Signup and view all the answers

What side effect is specifically warned against by the manufacturer of Methylthioninium chloride for infants?

<p>Hyperbilirubinemia (C)</p> Signup and view all the answers

What is a common side effect associated with both acetylcysteine and Methylthioninium chloride?

<p>Anxiety (D)</p> Signup and view all the answers

What is the recommended course of action regarding breastfeeding after Methylthioninium chloride administration?

<p>Avoid breastfeeding for up to 6 days (D)</p> Signup and view all the answers

What is a contra-indication for administering digoxin rapidly?

<p>Palpitations (D)</p> Signup and view all the answers

How should protamine sulfate be administered for neutralizing heparin?

<p>Rate not exceeding 5 mg/minute (A)</p> Signup and view all the answers

Which symptom is NOT listed in the text as a sign of acetylcysteine overdosage?

<p>Hypotension (A)</p> Signup and view all the answers

What is the recommended starting dose of acetylcysteine for children up to 20 kg?

<p>150 mg/kg over 1 hour (C)</p> Signup and view all the answers

When managing opioid overdose, which age group receives a low-dose regimen of naloxone?

<p>Children 12-17 years (A)</p> Signup and view all the answers

What is a symptom of digoxin toxicity according to the text?

<p>Chest pain (A)</p> Signup and view all the answers

Which condition does NOT result in a contra-indication for rapid administration of drugs according to the text?

<p>'The young' (C)</p> Signup and view all the answers

What is the action of naloxone hydrochloride in the context provided?

<p>'Management of opioid overdose' (A)</p> Signup and view all the answers

What is an important consideration when determining the dose of protamine sulfate according to the text?

<p>'Long half-life of low molecular weight heparins' (B)</p> Signup and view all the answers

Which plasma-paracetamol concentration level indicates the need for acetylcysteine treatment?

<p>Above the treatment line on the graph (D)</p> Signup and view all the answers

What is the recommended time frame for patients to present after ingesting paracetamol to avoid waiting for plasma-paracetamol concentration measurement?

<p>4-8 hours (C)</p> Signup and view all the answers

What is a symptom commonly experienced during delirium in patients with antidepressant poisoning?

<p>Dry mouth (B)</p> Signup and view all the answers

Which drug can be used to treat convulsions in patients with antipsychotic poisoning?

<p>Lorazepam (C)</p> Signup and view all the answers

What can be given within 1 hour of an overdose to reduce drug absorption?

<p>Activated charcoal (A)</p> Signup and view all the answers

Which characteristic is true regarding second-generation antipsychotic drugs?

<p>Can cause ECG abnormalities (D)</p> Signup and view all the answers

In patients at risk of liver damage from paracetamol overdose, what ALT level indicates the need for acetylcysteine treatment?

<p>&gt;1.3 x upper limit of normal (A)</p> Signup and view all the answers

What is the primary reason for recommending gastric decontamination within 1 hour of paracetamol ingestion?

<p>To decrease drug absorption (D)</p> Signup and view all the answers

What should be done if a patient presents within 1 hour of ingesting over 150 mg/kg of paracetamol?

<p>Start acetylcysteine treatment immediately (B)</p> Signup and view all the answers

What does therapeutic excess refer to in the context of paracetamol ingestion?

<p>Ingestion exceeding the licensed dose without intent to harm oneself (C)</p> Signup and view all the answers

What is the recommended treatment for cyanide poisoning patients with severe symptoms if dicobalt edetate is unavailable?

<p>Sodium nitrite followed by sodium thiosulfate (C)</p> Signup and view all the answers

Which antidote is preferred for severe poisoning but should not be used as a precautionary measure due to its toxic nature and potential fatality if not present?

<p>Dicobalt edetate (C)</p> Signup and view all the answers

What treatment is suitable for smoke inhalation victims with significant cyanide poisoning?

<p>Hydroxocobalamin (D)</p> Signup and view all the answers

What is the recommended treatment for ethylene glycol and methanol poisoning?

<p>Succimer (B)</p> Signup and view all the answers

Which medication is used as an adjunct to atropine for treating poisoning by organophosphorus insecticide or nerve agent?

<p>Pralidoxime chloride (B)</p> Signup and view all the answers

What is the recommended immediate treatment for carbon monoxide poisoning?

<p>Moving to fresh air and administering high-flow oxygen through a tight-fitting mask (C)</p> Signup and view all the answers

Which medication is used to reverse the sedative effects of benzodiazepines in anaesthesia and clinical procedures?

<p>Flumazenil (A)</p> Signup and view all the answers

What is the maximum dose of activated charcoal recommended for children aged 1 month to 11 years?

<p>50 g (D)</p> Signup and view all the answers

What should be done in case of CS spray poisoning?

<p>Washing exposed skin and contact lenses (A)</p> Signup and view all the answers

Which symptom is not associated with iron salts poisoning in childhood?

<p>Hypotension (B)</p> Signup and view all the answers

What is the recommended treatment for severe theophylline poisoning?

<p>Diazepam (D)</p> Signup and view all the answers

What cardiac effect is specifically mentioned as a symptom of cocaine poisoning?

<p>Arrhythmias (D)</p> Signup and view all the answers

Which substance can cause wakefulness, paranoia, hallucinations, and hyperthermia?

<p>Ecstasy (A)</p> Signup and view all the answers

In what poisoning case is intravenous desferrioxamine mesilate given without waiting for serum-iron measurement?

<p>Iron salts (B)</p> Signup and view all the answers

What are common early clinical features of severe lithium poisoning?

<p>Muscle twitching and tremor (B)</p> Signup and view all the answers

Which symptom is not typically associated with beta-blockers poisoning?

<p>Hyperglycemia (A)</p> Signup and view all the answers

Flashcards are hidden until you start studying

More Like This

Use Quizgecko on...
Browser
Browser